TILDON JERROID WRIGHT (LCSW) – Clinical Social Worker, NPI 1043740178

TILDON JERROID WRIGHT (LCSW) is a healthcare provider. based in Atlanta, Georgia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. CSW006099 (GA). The NPI Number for TILDON JERROID WRIGHT (LCSW) is 1043740178

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
TILDON JERROID WRIGHT (LCSW)
NPI
1043740178
Phone
(678) 843-8600
Address
424 DECATUR ST SE
Enumeration Date
12 June 2017
Last Update Date
12 June 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6788438840
Graduation Year
2009 (17 years ago)
PAC ID
5698041663
Group Practice PAC ID
9931191525
Professional Enrollment ID
I20171018001623
Address ID
GA303033638AT275XXSWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,046 CLINICAL SOCIAL WORKER in GA

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Provider Addresses for TILDON JERROID WRIGHT (LCSW)

  • Mercy Care, 424, Decatur Street Southeast, Sweet Auburn, Atlanta, Fulton County, Georgia, 30312, United States

    ATLANTA, GA 303121848

    Phone: (678) 843-8600

    Fax: (678) 843-8601

    Type: Mailing

  • Gateway Center, 275, Pryor Street Southwest, South Downtown, Atlanta, Fulton County, Georgia, 30303, United States

    ATLANTA, GA 303033638

    Phone: (678) 843-8840

    Fax: (678) 843-8898

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-10-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171018001623IClinical Social WorkerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30312)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931191525View full group profile
NameSpecialtyState
-GA
Internal MedicineGA
P S Y C H I A T R YMS
Nurse PractitionerGA
Nurse PractitionerFL
-DE
Family PracticeGA
Psychiatry, Addiction MedicineGA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Can I verify TILDON JERROID WRIGHT (LCSW) with an NPI only?
You can start verification with NPI 1043740178 for TILDON JERROID WRIGHT (LCSW), then check state licensing separately.
Does the file indicate TILDON JERROID WRIGHT (LCSW) is practicing under active NPI?
Directory data currently reports TILDON JERROID WRIGHT (LCSW) as active.
What is TILDON JERROID WRIGHT (LCSW) best known for clinically?
Directory data describes TILDON JERROID WRIGHT (LCSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What area does TILDON JERROID WRIGHT (LCSW) serve?
TILDON JERROID WRIGHT (LCSW)'s listing highlights Atlanta, Georgia; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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